A Patient Returning from an Extended Trip into Mexico Has

Multiple Choice

A patient returning from an extended trip into Mexico has the following symptoms: a papule at the site of a previous bug bite and enlarged lymph nodes. Microscopic examination of the papule reveals nucleated cells in white blood cells. The patient most likely has

A) schistosomiasis.
B) anthrax.
C) brucellosis.
D) malaria.
E) leishmaniasis.